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Resource Use (Cost/Utilization) Measurement and Reporting in California

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California law requires every hospital to report summary financial and utilization reports to the Office of Statewide Health Planning and Development within 45 days of the end of each quarter.  These reports include data on the average number of available beds, number of discharges, and total operating expenses,. These hospital reports are available by the Office of Statewide Health Planning to any interested person upon request for a fee.1   Hospitals are also required to report certain financial data as required by law. 2

 

Footnotes

  • 1. Health & Safety Code §128740
  • 2. Health & Safety Code §128735

 

Resource Use (Cost/Utilization) Measurement and Reporting in California

Subtopic Statute/Regulation Description
Required utilization/cost reporting California Medicaid Plan Reporting Requirements – Cal. Code Regs. tit. 22 § 53862 California’s Medicaid plan is administered through a two plan mode, where one plan is a prepaid plan awarded by competitive bidding and the...
Charge Description Master and Estimated Revenue Increases – Cal. Health & Safety Code § 1339.55 All hospitals must file the charge description master with the Office of Statewide Planning and Development annually.  Each hospital must...
Organized Health Care Delivery Models For Children Eligible For California Children Services (CCS) – Cal. Welf & Inst. Code §14182.2 “Organized health care delivery models for children eligible for California Children Services (CCS); establishment; report of expenditures;...
Quarterly Summary Financial and Utilization Data Reports – Cal. Health & Safety Code § 128740 The following summary financial and utilization reports must be reported by every hospital within 45 days of the end of each quarter to the Office of...
Required Annual Reports For Licensed Health Facilities – Cal. Code Regs. tit. 22 § 97040 Required Annual Reports for Licensed Health Facilities A licensed health facility must provide to the Office of Statewide Health Planning and...
Financial information data collection California Medicaid Plan Reporting Requirements – Cal. Code Regs. tit. 22 § 53862 California’s Medicaid plan is administered through a two plan mode, where one plan is a prepaid plan awarded by competitive bidding and the...
Health facilities; reports; data reporting requirements; hospital discharge abstract data record; exemptions from disclosure requirements; liability – Cal. Health & Safety Code § 128735 Any organization that operates, conducts, owns, or maintains a health care facility, or its officers must report the following:  balance...
Required Annual Reports For Licensed Health Facilities – Cal. Code Regs. tit. 22 § 97040 Required Annual Reports for Licensed Health Facilities A licensed health facility must provide to the Office of Statewide Health Planning and...
Provider cost reporting Charge Description Master Requirements – Cal. Health & Safety Code § 1339.51 All hospitals must make a written or electronic version of the charge master available either by posting an electronic version on the hospital’...
List of Charges for Common Services and Procedures – Cal. Health & Safety Code § 1339.56 Each hospital must compile a list of 25 common outpatient procedures and annually submit to the Office of Statewide Health Planning and Development...
Access to health care cost information Charge Description Master Requirements – Cal. Health & Safety Code § 1339.51 All hospitals must make a written or electronic version of the charge master available either by posting an electronic version on the hospital’...
List of Charges for Common Services and Procedures – Cal. Health & Safety Code § 1339.56 Each hospital must compile a list of 25 common outpatient procedures and annually submit to the Office of Statewide Health Planning and Development...
Click on the individual state law in the table above to see our summary of the individual law.


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by Dr. Radut.